| Entity Name: | PSYCHOLOGICAL ASSESSMENT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jul 2022 (3 years ago) |
| Document Number: | L22000309231 |
| FEI/EIN Number | 883183505 |
| Address: | 1402 Villa Juno Drive South, Juno Beach, FL, 33408, US |
| Mail Address: | 1402 Villa Juno Drive South, Juno Beach, FL, 33408, US |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710611868 | 2022-07-14 | 2022-07-14 | 1601 CLINT MOORE RD STE 120, BOCA RATON, FL, 334875712, US | 7000 W PALMETTO PARK RD STE 201, BOCA RATON, FL, 334333430, US | |||||||||||||||||||||||||
|
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| Phone | +1 571-732-2000 |
| Fax | 5617312997 |
| Phone | +1 561-732-2000 |
Authorized person
| Name | DR. JESSICA TYLICKI |
| Role | OWNER |
| Phone | 2197433266 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Tylicki-Steriovski JESSICA LPHD | Agent | 1402 Villa Juno Drive South, Juno Beach, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| Tylicki-Steriovski JESSICA LDr. | Authorized Member | 1402 Villa Juno Drive South, Juno Beach, FL, 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-17 | 1402 Villa Juno Drive South, Juno Beach, FL 33408 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-17 | 1402 Villa Juno Drive South, Juno Beach, FL 33408 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-07-17 | Tylicki-Steriovski, JESSICA L, PHD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-17 | 1402 Villa Juno Drive South, Juno Beach, FL 33408 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-17 |
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-24 |
| Florida Limited Liability | 2022-07-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
